Active NPI
Cheryl Ann Timbs, LCSW
- Social Worker
- Elizabethton, TN
National Provider Identifier
1831293513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW0000004443
- Practice address
- 426 East G Street
Elizabethton, TN 37643 - Phone
- (423) 547-5950
- Fax
- (423) 547-5953
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000004443 | TN | Primary |
| Social Worker | 104100000X | C003303 | NC |
Addresses
Primary practice location
426 East G Street
Elizabethton, TN 37643
Mailing address
PO Box 9054
Gray, TN 37615
Phone (423) 467-3600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334969 | Other | VALUEOPTIONS | |
| 735734 | Other | FIRST HEALTH | |
| 4098487 | Other | MAGELLAN SUMMIT | |
| 373262 | Other | MANAGED HEALTH NET | |
| 4098487 | Other | MAGELLAN NAVIGATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003303 | NC | MD | Social Worker |
| LSW0000004443 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831293513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "37615",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 EAST G STREET",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "37643",
"telephone_number": "423-547-5950",
"fax_number": "423-547-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBS",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000004443",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C003303",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "334969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "735734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "4098487",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NET",
"identifier": "373262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "4098487",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.